Paeds Cases · preventive-and-community-paediatrics
Culturally safe Indigenous child health visit — communication OSCE
OSCE on rapport, reframing non-compliance, OM/hearing plan and partnership with community-controlled care.
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Study tools
Target exams
MRCPCH ClinicalRACP DCE
Prompt
5-year-old Indigenous child with recurrent ear infections; grandmother present; prior clinic notes say non-compliant.
Objectives
- Build rapport and invite family supports without stereotyping. [1]
- Reframe “non-compliance” as access/trust barriers. [8]
- Create an ear/hearing plan with practical follow-up. [12]
- Offer partnership with community-controlled care and use teach-back. [8]
References4ShowHide
- [1]Curtis E Why cultural safety rather than cultural competency is required to achieve health equity: a literature review and recommended definition International journal for equity in health, 2019.PMID 31727076
- [8]Browne AJ Enhancing health care equity with Indigenous populations: evidence-based strategies from an ethnographic study BMC health services research, 2016.PMID 27716261
- [12]Leach AJ Otitis media guidelines for Australian Aboriginal and Torres Strait Islander children: summary of recommendations The Medical journal of Australia, 2021.PMID 33641192
- [6]King M Indigenous health part 2: the underlying causes of the health gap Lancet, 2009.PMID 19577696